TRUSTEES OF TUFTS UNIVERSITY (NPI# 1801938014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801938014 |
Entity Type | Organization |
Organization Name | TRUSTEES OF TUFTS UNIVERSITY |
Other Organization Name | TUFTS ORAL PATHOLOGY SERVICES |
Practice Address |
1 Kneeland St Dhs-646 Boston MA 02111-1527 |
Practice Telephone | 6176366510 |
Practice Fax Number | 6176366780 |
Mailing Telephone | 6176366510 |
Mailing Fax Number | 6176366780 |
Enumeration Date | 2007-02-13 |
Last Update Date | 2020-04-08 |
Authorized Official Name | LISA GATELY (CREDENTIALING) |
Authorized Official Telephone | 6176366505 |
Is Organization Subpart | Y |
Parent Organization Name | TRUSTEES OF TUFTS UNIVERSITY |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | 110000011O | 05 | |
BLUE CROSS BLUE SHIELD | 228200 | 01 |
Other Name | Type Code |
---|---|
Tufts Oral Pathology Services | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508169830 | Trustees of Tufts University | Clinic/Center | 212 Freight Shed Road, Baldwinville, MA 01436 | 2010-12-08 |
1740405356 | Trustees of Tufts University | Clinic/Center | 450 Maple St, Hathorne, MA 01937 | 2007-04-17 |
1508206012 | Trustees of Tufts University | Clinic/Center | 1275 Elm St, West Springfield, MA 01089-1820 | 2013-06-28 |
1144514027 | Trustees of Tufts University | Clinic/Center | 3 Randolph St, Bradford Building, 2nd Floor, Canton, MA 02021-2351 | 2011-06-08 |
1720381064 | Trustees of Tufts University | Clinic/Center | 1 Kneeland Street, 3rd Floor, Boston, MA 02111 | 2010-12-08 |
1467755702 | Trustees of Tufts University | Clinic/Center | 22 Hillside Ave, Groton, MA 01450 | 2010-12-08 |
1760608608 | Trustees of Tufts University | Clinic/Center | 175 State Ave, Palmer, MA 01069-1843 | 2007-04-18 |
1871719104 | Trustees of Tufts University | Clinic/Center | 200 Trapelo Rd, Waltham, MA 02452-6332 | 2007-04-17 |
1295959849 | Trustees of Tufts University | Clinic/Center | 200 Trapelo Rd, Waltham, MA 02452-6332 | 2007-04-13 |
1104040757 | Trustees of Tufts University | Clinic/Center | 81 Hope Ave, Worcester, MA 01603-2212 | 2007-04-13 |
Street Address |
1 KNEELAND ST DHS-646 |
City | BOSTON |
State | MA |
Zip Code | 02111-1527 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952385742 | Edward Henry Fidrocki | Dentist | 1 Kneeland St, Room 322 A, Boston, MA 02111 | 2005-12-05 |
1356942296 | Maria Diluigi | Dental Hygienist | 1 Kneeland St, Boston, MA 02111-1527 | 2020-11-06 |
1043818891 | Sultan Albeshri | Student in an Organized Health Care Education/Training Program | 1 Kneeland St, Boston, MA 02111-1527 | 2020-10-14 |
1699389015 | Nader Naguib | Student in an Organized Health Care Education/Training Program | 1 Kneeland St, Boston, MA 02111-1527 | 2020-09-02 |
1811508443 | Reem Alajlan | Student in an Organized Health Care Education/Training Program | 1 Kneeland St, Boston, MA 02111-1527 | 2020-08-17 |
1306457437 | Ranmeek Kaur | Dentist | 1 Kneeland St, Boston, MA 02111-1527 | 2020-08-12 |
1326656166 | Shivangi Tyagi | Dentist | 1 Kneeland St, Boston, MA 02111-1527 | 2020-07-17 |
1790302503 | Sebastien Richard Salzmann | Dentist | 1 Kneeland St, Boston, MA 02111-1527 | 2020-06-26 |
1699391607 | Adam Lowenstein | Student in an Organized Health Care Education/Training Program | 1 Kneeland St, Boston, MA 02111-1527 | 2020-06-25 |
1720604317 | John Paul Ramos De Guzman | Student in an Organized Health Care Education/Training Program | 1 Kneeland St, Boston, MA 02111-1527 | 2020-06-19 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689271397 | Maximilian Richert | Counselor | 25 Kingston St, 4r, Boston, MA 02111 | 2020-10-06 |
1558978957 | Tien-hsin Chang | Student in an Organized Health Care Education/Training Program | 1 Kneeland Street (tufts University School of Dental Me, Boston, MA 02111 | 2020-09-29 |
1548883465 | Elizabeth Carter Stapleton | Dentist | Tufts School of Dental Medicine: Dept of Orthodontics, 1 Kneeland Street, Boston, MA 02111 | 2020-05-27 |
1932729597 | Jacob Joseph Kosarchuk | Neurological Surgery | 800 Washington Street, Proger 7, Boston, MA 02111 | 2020-04-23 |
1164051868 | Daniele Abela | Surgery | 860 Washington Street, South Building, 4th Floor, Boston, MA 02111 | 2020-04-04 |
1184265258 | Jade Orthodontics | Dentist | 30 Kneeland St, Suite 301, Boston, MA 02111 | 2019-09-30 |
1932753639 | Loukia Kamille Danaf | Student in an Organized Health Care Education/Training Program | 1 Kneeland Street, Tufts University School of Dental Me, Boston, MA 02111 | 2019-07-31 |
1033771944 | Faris Khalifa | Student in an Organized Health Care Education/Training Program | 1 Kneeland Street, 5th Floor, Boston, MA 02111 | 2019-07-01 |
1609437276 | Blair Hanna Ray Farbstein | Student in an Organized Health Care Education/Training Program | 1 Kneeland Street, 3rd Floor, Boston, MA 02111 | 2019-06-25 |
1821658709 | Jennifer Drummond | Internal Medicine | 800 Washington St. Gme Office, Boston, MA 02111 | 2019-06-13 |
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Taxonomy Code | 291U00000X |
Grouping | Laboratories |
Classification | Clinical Medical Laboratory |
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528688041 | Orig3n, Inc. | Clinical Medical Laboratory | 27 Drydock Ave Ste 3, Boston, MA 02210-2382 | 2020-04-24 |
1033454715 | Parabase Genomics Inc | Clinical Medical Laboratory | 27 Drydock Ave, 2nd Floor, Boston, MA 02210-2377 | 2012-12-06 |
1174701189 | Trustees of Boston University | Clinical Medical Laboratory | 24 Cummington St, Room 724, Boston, MA 02215-2425 | 2008-02-01 |
1720299357 | Oncolab, Inc | Clinical Medical Laboratory | 36 The Fenway, Boston, MA 02215-4006 | 2007-05-25 |
1053463448 | Childhood Lead Screening Laboratory | Clinical Medical Laboratory | 305 South St, Boston, MA 02130-3515 | 2007-01-17 |
1538478797 | Tufts Medical Center | Clinical Medical Laboratory | 800 Washington St, 802, Boston, MA 02111-1552 | 2010-10-05 |
1295041044 | Texana Labs Inc | Clinical Medical Laboratory | 700 Albany St, Boston, MA 02118-2518 | 2010-08-30 |
1417157934 | Rvp | Clinical Medical Laboratory | 180 Brookline Ave, Suite 248, Boston, MA 02215-3938 | 2007-07-23 |
1912059908 | Mycobacteriology Laboratory | Clinical Medical Laboratory | 305 South St, Boston, MA 02130-3515 | 2007-01-18 |
1437215753 | Caritas Excell Clinical Laboratories, Inc. | Clinical Medical Laboratory | 736 Cambridge St, Boston, MA 02135-2907 | 2006-12-29 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.